Breast augmentation is an aesthetic operation that attains augmentation of the breast and simultaneous reconstruction. This is succeeded with the placement of a silicon implant. The silicone implant is used in a reconstructive operation as well, in case of breast aplasia (Poland) or in a previous mastectomy. The implant can be placed under the massive gland or under the muscles, depending on what the medical situation and what the surgeon’s estimation for the best aesthetic result is. The silicone implant is placed under a small incision of 2-3 cm on the verge of the nipple so as the scar cannot be traced after a few months. The implant may contain physiological saline or silicone gel that could be firm. It can have a high or low profile and may vary in size. Its shape could be drop-like or round. There is a variety in their price, depending on quality, shape or content. The surgeon is responsible for the selection of the right implant, regarding its content and shape. The quality of the implant may be suggested from the surgeon, but the patient is the one who decides.

Much has been reported of possible silicone side-effects. It is validated, in a vast number of medical circles, that the silicone is a dormant substance that causes no effect on the biological functions of the organism. Some researchers have shown the “protection” of the silicone against cancer, but it is attributed to the fact that women with small breast mass (and therefore small chance of breast cancer) undergo a breast augmentation, regardless of having or not breast implants.

The patient must come to the hospital foodless, without having drunk any water for the last 6 hours before the operation. She should have done the pre-operational check-up (General Blood Test, Blood Glucose and Blood Urea Test, Na+, K+, Electrocardiogram, Ro Chest) for the needs of the anesthesia. She should be prepared for an easy operation with an easier post-operational course. The patient should not feel pain and may get out of the hospital in 2-3 hours after the end of the surgery. The first change is made on the second day, in the doctor’s office, having along a bra in the appropriate size. The next days the patient herself removes the band aids to have a bath and reapplies them under her bra. There is no stitch removal since they are absorbed. She could return to work the next day, and could continue her training program on the next week. However, she is strictly restricted to sleep dorsal decubitus. She must also wear the bra for the first month after the operation.

After the operation, there is full breast functionality. The aesthetic of the nipple may appear altered for a short time and need B12 vitamin for quicker rehabilitation. Pregnancy and nursing are allowed after the operation. When the patient is pregnant, the breast aesthetic appearance worsens, yet in a lesser degree when there is an implant. If the influence of the pregnancy is widely, extra correctional operations may be needed. Imminent implications are too rare. There is a small possibility of appearing a hardening of the breast, caused by a scar development around the inlay. Responsible for this development is mainly the quality of the implant. Hematoma is also another cause. The problem is easily solved by squeezing the breast between your two hands. Rarely is the problem serious enough that the surgical removal is necessary.

The use of aspirin is forbidden for 4 days before the operation.